How much rates vary
Facilitymedian $2,089 · 10th to 90th $389 to $5,248Professionalmedian $513 · 10th to 90th $355 to $646
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $645.65 | Professional | None | $489.78 | $588.84 | $645.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $5,888.44 | Facility | None | $1,479.11 | $2,344.23 | $5,888.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $616.60 | Professional | None | $467.74 | $549.54 | $616.60 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $645.65 Typical High $3,467.37 | Facility | None | $331.13 | $645.65 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $467.74 Typical High $602.56 | Professional | None | $275.42 | $467.74 | $602.56 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $4,265.80 | Facility | None | $275.42 | $630.96 | $4,265.80 |
United Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $691.83 | Professional | None | $331.13 | $436.52 | $691.83 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $295.12 Typical High $316.23 | Professional | 52 · Reduced service | $245.47 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $117.49 Typical High $125.89 | Professional | 53 · Discontinued | $97.72 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | 54 · Surgery only | $371.54 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $87.10 Typical High $93.33 | Professional | 55 · Aftercare only | $74.13 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $58.88 Typical High $63.10 | Professional | 56 · Pre-op care only | $48.98 | $58.88 | $63.10 |
Where Louisiana sits
The same service costs 5.2 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $4,868DE $935
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.